Active NPIIndividual providerSole proprietor

Angelo Fusaro

Physical Medicine & Rehabilitation, Sports Medicine in Mystic, Connecticut

NPI Number1497573182
Practice location
14 Clara Dr, Mystic, CT 06355-1973
Fax
—
Last updated
October 1, 2024

Angelo Fusaro is a Physical Medicine & Rehabilitation, Sports Medicine based in Mystic, CT. Angelo Fusaro practices in Mystic, CT. The NPI Number for Angelo Fusaro is 1497573182 and holds a License No. 001036 (CT). The current practice location address for Angelo Fusaro is 14 Clara Dr, Mystic, CT 06355-1973 and can be reached out via phone at 860-245-0851.

Provider Profile Details

NPI Number
1497573182
Provider Name
Angelo Fusaro
Provider Entity Type
Individual
Gender
Male
Address
14 Clara Dr, Mystic, CT 06355-1973
Phone Number
860-245-0851
Sole Proprietor
Yes
Provider Enumeration Date
October 1, 2024
Last Update Date
October 1, 2024
Certification Date
October 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Clara Dr
Mystic, CT 06355-1973
City
Mystic
Zip
06355-1973
Phone Number
860-245-0851
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
213 High St
Westerly, RI 02891-1775
City
Westerly
State
RI
Zip
02891-1775
Phone Number
401-430-9923

License Information

License Number
001036
License State
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angelo Fusaro?

The NPI number of Angelo Fusaro is 1497573182. It was assigned on October 1, 2024 and is currently active in the NPPES registry.

What is the specialty of Angelo Fusaro?

Angelo Fusaro is registered under the primary taxonomy Physical Medicine & Rehabilitation, Sports Medicine (code 2081S0010X), licensed in CT under license number 001036.

Where does Angelo Fusaro practice?

The practice location is 14 Clara Dr, Mystic, CT 06355-1973. The office can be reached at 860-245-0851 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497573182 directly on the NPPES registry website.

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